摘要
目的研究1%毛果芸香碱脂质体对原发性闭角型青光眼的疗效和不良反应。方法原发性闭角型青光眼60例60只眼,其中对照组30例,30只眼;试验组30例,30只眼。用药前后,测量眼压及瞳孔直径,检查房角以及视力、结膜、角膜、前房、虹膜、瞳孔、晶体、眼底,A型超声测量前房深度、晶体厚度、眼轴,同时记录患者的自觉症状。1%毛果芸香碱滴眼液(对照组):每次滴眼1滴,约50μL,1d 4次;1%毛果芸香碱脂质体滴眼液(试验组):每次滴眼1滴,约50μL,1d 2次。结果2组患者性别、年龄、用药前眼压、瞳孔直径经统计学检验P>0.05,差异无显著性。2组患者滴药后各时间段的眼压均下降与用药前相比,差异有显著性(配对t检验,P<0.05);滴药后各时间段2组患者眼压相比,试验组眼压下降明显,差异有显著性(独立样本t检验,P<0.05)。2组患者滴药后各时间段的瞳孔值与用药前相比,瞳孔均有缩小,差异有显著性(配对t检验,P<0.05);滴药后各时间段2组瞳孔值相比,试验组瞳孔值小,差异有显著性(独立样本t检验,P<0.05)。每组用药前后以及2组患者用药前后前房深度、晶体厚度及眼轴长度,经统计学检验,无差异。脂质体组有7例发生滴药后短暂的表面刺痛感,2组未发现其他眼部和全身的不良反应。结论毛果芸香碱脂质体滴眼液应用于原发性闭角型青光眼的治疗,能减少滴眼次数,有效地控制眼压。
OBJECTIVE To study the effects of 1% pilocarpine liposome in the treatment of primary angle closure glaucoma (PACG). METHODS Sixty patients with PACG were divided into 2 groups. Test group (30 patients) in age from 44 to 86 years received 1% pilocarpine liposome, and the control group(30 patients) in age from 56 to 90 years received 1% pilocarpine solution, The pupil diameter, intraocular pressure ( IOP), anterior chamber angle, visual acuity, conjunctive, cornea, anterior chamber, iris, pupil, lens, fundus were measured at time intervals of beginning and 0, 5,1,2,4,6,8,12h on the first day and 8 A. M. on the second day to seventh day after drugs being applied. The investigation had a total duration of 7 days. Anterior chamber depth, lens thick, axial length of eye were measured by A ultrasound scan at time intervals of beginning and 6h. Test group received 1% pilocarpine liposome drop twice a day and control group received 1% pilocarpine solution drop 4 times a day. RESULTS The mean intraocular pressure, mean pupil diameter of 2 groups were not significant( P 〉 0.05 ) at beginning. At beginning to any time intervals, hypotensive effect of each group was significant ( P 〈 0.05) ; Comparison of IOP of 2 groups was significant( P 〈 0. 05 ) at same time intervals, The pupil constricted of each group was significant ( P 〈 0.05 ) at beginning to any time intervals ; Comparison of pupil constricted and pupil change of 2 groups were significant (P 〈 0.05) at same time intervals, Comparison of visual acuity was significant( P 〈 0.05 ). No side effects found except tingling sensation after eye drop instilled in the test group. CONCLUSION It shows that 1% pilocarpine liposome used only twice a day would lead to better control of PACG.
出处
《中国现代应用药学》
CAS
CSCD
北大核心
2006年第1期3-7,共5页
Chinese Journal of Modern Applied Pharmacy
基金
浙江省自然科学基金资助项目(M303896)
浙江省科技厅项目(2002C33052)
关键词
毛果芸香碱
脂质体
缩瞳
青光眼
眼压
pilocarpine
miosis
liposome
glaucoma
intraocular pressure